NPI | 1750896783 |
---|---|
Professional Name | KELCEY LOVELAND |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV 6988) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NM DD4824) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NM DD) | |
Enumeration Date | 2017-12-13 |
Last Update Date | 2018-03-17 |